Forms: Difference between revisions
From Guide to YKHC Medical Practices
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**[[Media:death certificate worksheet.pdf|Death certificate worksheet]] | **[[Media:death certificate worksheet.pdf|Death certificate worksheet]] | ||
**[[media:Expected_home_death.pdf|Expected Home Death]] (Links to pdf form for printing) | **[[media:Expected_home_death.pdf|Expected Home Death]] (Links to pdf form for printing) | ||
*[ | *[https://www.lifemedalaska.com/copy-of-ride-along-program|Medevac Ride-along Release Form] | ||
*[[media:ptos.pdf|Patient Transport Order form]] | *[[media:ptos.pdf|Patient Transport Order form]] | ||
*[[media:controlled substance agreement.pdf|Pain Contract]] | *[[media:controlled substance agreement.pdf|Pain Contract]] | ||
Revision as of 07:13, 23 September 2020
- CME Request Form (Can only be accessed within RAVEN system)
- Death Packet Forms
- Disposition of Body
- Notification of Death
- Transit Burial Permit Procedures and Request Form
- Death certificate worksheet
- Expected Home Death (Links to pdf form for printing)
- Ride-along Release Form
- Patient Transport Order form
- Pain Contract
- Orthopedic Teleradiology Request.pdf
- Proctoring—Medical Staff
- Peer Review Request form
- Visitor Confidentiality Statement
- Special Consent Forms for Operations or Other Procedures (links to pdf)
- Other Facility Computer Access Request for ANTHC (links to fillable pdf)
Please search Document Library for any other forms you might be trying to find.
